Medline Paradise Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MEDLINE PARADISE HOSPICE INC

Practice address

418 N Glendale Ave Ste a
Glendale, CA 91206-3302

Phone

(818) 725-1012

NPI assigned

Jul 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roza Nazaryan

Title

Ceo

Phone

(818) 725-1012

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1760090757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N GLENDALE AVE STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063302",
            "telephone_number": "818-725-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N GLENDALE AVE STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063302",
            "telephone_number": "818-725-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE PARADISE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "NAZARYAN",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-725-1012"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.